Exam2 lists

Question 1

t-/c-spine capsular pattern

Answer 1

rotation and LF equally limited followed by extension

Question 2

TMJ capsular pattern

Answer 2

opening

Question 3

T spine norms

Answer 3

flex/ext = 45
LF = 40
Rot = 50

Question 4

C spine norms

Answer 4

flex = 45-50
ext = 85
LF = 40
Rot = 90

Question 5

TMJ ROM norms

Answer 5

opening = 35-50 mm (3 DIP)
protrusion = 6-9 mm
Retrusion = 3-4 mm
lat deviation = 10-15mm

Question 6

Rovsing’s sign

Answer 6

Palpate L iliac fossa causes pain in the R iliac fossa indicative of acute appendicitis

Question 7

iliopsoas muscle test

Answer 7

-contract hip flexor (supine SLR) causes pain in R lower quadrant -appendicitis

Question 8

obturator test

Answer 8

LE 90/90.
IR and ER of hip.
head of femur stresses peritoneum

Question 9

Markle’s sign

Answer 9

jar test or heel sign

-standing, up on toes, drop on heel

Question 10

AAA - signs and symptoms (flags)

Answer 10

• deep ache/throbbing chest pain
• back pain
• SOB/cough if near lungs
• hoarse voice
• difficulty/pain with swallowing
• less than 50 y/o

Question 11

Canadian C-spine rules

Answer 11

• no cognitive/neuro involvement
• no distraction injury
• less than 65 y/o
• not fearful of moving
• no midline pain

Question 12

NPRS (min detectable change, clinical significance level )

Answer 12

• min change = 2.1

- clinical = 1.3

Question 13

CPR: Neck pain and cervical traction

Answer 13

• age 55 or under
• (+) shoulder abduction test
• (+) ULTT A - median nerve
• (+) neck distraction test
• symptoms peripheralize with central PA glides at lower Cervical (c4-7)

Question 14

CPR: T-spine manipulation

Answer 14

• symptoms under 30 days
• no symptoms past shoulder
• looking up does not aggravate symptoms
• cervical ext ROM over 30 degrees
• FABQ-PA score under 12
• dec upper T-spine kyphosis

Question 15

CPR: cervical radiculopathy

Answer 15

• cervical rotation under 60 degrees
• (+) spurling
• (+) distraction
• (+) ULTT

Question 16

poor predictors after whiplash

Answer 16

• high initial pain and disability
• age (middle or older)
• female
• restricted neck movement
• mod levels of acute post-traumatic stress
• • cold hyperalgesia, altered pain processing (at 6 mo and 2-3years)

Question 17

Chronic tension type HA who respond to trigger point

Answer 17

• HA duration under 8.5 hours/day
• HA freq under 5.5days/wk
• SF-36 bodily pain under 47
• SF-36 vitality under 47.5

Question 18

HA red flags (5)

Answer 18

• HA getting worse over time
• Sudden onset of severe headache
• HA associated with high fever, stiff neck, or rash
• onset of HA after head injury
• problems with vision or profound dizziness

Question 19

CPR: migraine

Answer 19

• POUNDing
• P = pulsating
• O = of 4-72 hours
• U = unilateral
• N = nausea
• D = disabling

Question 20

Cervical myelopathy descriptive characteristics

Answer 20

• sensory disturbance in hands
• muscle wasting in hand intrinsic
• unsteady gait
• (+) hoffman’s reflex
• hyperreflexia
• bowel/bladder changes
• multi-segmental weakness/sensory changes

Question 21

Neoplastic conditions: characteristics

Answer 21

• age over 50
• previous hx of cancer
• unexplained wt loss
• constant pain, no relief
• night pain

Question 22

Upper cervical instability: characteristics

Answer 22

• occipital HA and numbness
• severe limitation of ROM
• signs of myelopathy
• Down’s syndrome
• RA

Question 23

Primary headaches originate from what?

Answer 23

vascular and muscle stuff

Question 24

Tension type headache

Answer 24

• 30 mins to 7 days
• bilateral
• non-pulsating

Question 25

cluster HA:

Answer 25

- evening or night - 15 mins to 180 mins - usually occur in cycles - males higher - can be triggered by alcohol - *unilateral orbital pain